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Individual

MARC C ROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
ME 48626
FL
208800000X
Urology Physician
Primary
ME48626
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31193
FL BLUE
FL
01
88244226132960A003
TRICARE - MILITARY
01
P02682780
RAILROAD MEDICARE
Enumeration date
07/08/2005
Last updated
04/04/2023
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